Individual
MR. SHELLY HEISER REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15 MED PARK DR PALMETTO HEALTH, SUITE203, COLUMBIA, SC 29203
(803) 434-4770
Mailing address
128 OSBORNE LN, IRMO, SC 29063-8335
(803) 665-9886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1913
SC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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